Disorientation in Chronic Psychiatric Patients

1997 ◽  
Vol 42 (8) ◽  
pp. 864-868 ◽  
Author(s):  
Adel Gabriel
Keyword(s):  
Cognitive Impairment ◽  
Mmse Score ◽  
Psychiatric Patients ◽  
Chronically Ill ◽  
The Other ◽  
Chronological Age ◽  
Schizophrenic Patients ◽  
Schizophrenic Group ◽  
Per Se ◽  
Chronic Psychiatric Patients

Objective: To explore the effect of chronic institutionalization on cognitive performance in chronic psychiatric patients with emphasis on age disorientation, a phenomenon that was found in previous research to occur in up to 25% of chronic schizophrenic patients. Method: One hundred and ten chronic psychiatric patients, forming 4 main groups—schizophrenic patients, nonschizophrenic patients, institutionalized, and noninstitutionalized—were examined for age disorientation (inability to give one's chronological age correctly on request), and their Minimental State scores (MMSE) were compared across the 4 groups. Results: Twelve out of 43 patients (26%) who were institutionalized according to our definition were age-disoriented and had significantly lower MMSE scores than the other 3 groups. The chronic, noninstitutionalized schizophrenic group and the other chronic psychiatric patients, whether they were institutionalized or not, were negative for this phenomenon. One of the 12 age-disoriented patients was age delusional, and 5 of the 12 had a total MMSE score consistent with dementia (21 or lower). Conclusion: Age disorientation is a specific phenomenon that characterizes a subgroup of chronically ill and institutionalized schizophrenic patients. It is unlikely that chronicity per se or prolonged hospitalization alone will lead to cognitive impairment.

Predicting Symptomatic and Behavioural Outcomes of Community Care

1994 ◽  
Vol 165 (4) ◽  
pp. 486-492 ◽  
Author(s):  
Til Wykes
Keyword(s):  
Cognitive Impairment ◽  
Information Processing ◽  
Community Care ◽  
Psychiatric Patients ◽  
Initial Information ◽  
Patient Functioning ◽  
Mediating Factors ◽  
Two Factors ◽  
Schizophrenic Patients ◽  
Chronic Psychiatric Patients

BackgroundMany studies of community care show little overall improvement in patient functioning. This study investigated whether cognitive impairment mediates the effect of the increased opportunities offered by the community.MethodBehaviour, symptoms, sociodemographic variables and information processing of a random sample of chronic psychiatric patients were examined. Six years later, social and behavioural outcomes were measured.ResultsThe overall change in the group was negligible. Individual variation can be accounted for by two factors: time since transfer to the community, and initial information processing problems. Patients transferred for at least three years showed significant improvements. Schizophrenic patients without information processing problems improved, but those with deficits got worse.ConclusionsThe identification of mediating factors should allow better rehabilitation plans, and alleviate the toxic effects that transfer has on some patients' functioning.

Circadian Body Temperature in Chronic Schizophrenia

1976 ◽  
Vol 129 (4) ◽  
pp. 350-354 ◽  
Author(s):  
R. Morgan ◽  
A. J. Cheadle
Keyword(s):  
Body Temperature ◽  
Psychiatric Patients ◽  
Chronic Schizophrenia ◽  
The Other ◽  
Peak Temperature ◽  
Chronic Schizophrenic ◽  
Chronic Schizophrenics ◽  
Schizophrenic Patients ◽  
Chronic Psychiatric Patients

SummaryThe 24-hour oral temperatures of 51 chronic schizophrenic patients, 19 non-schizophrenic chronic psychiatric patients and 14 non-patients have been measured and compared. The chronic schizophrenics have an earlier peak temperature and differ significantly from the other groups. Compared with the non-schizophrenic patients their hourly mean temperatures reach significantly higher levels in the morning. Compared with the non-patients their mean temperatures fall to significantly lower levels in the evening after 5.00 pm.

Cognitive Functioning in Acute and Remitted Psychiatric Patients

1967 ◽  
Vol 21 (1) ◽  
pp. 24-26 ◽  
Author(s):  
Robert H. Goldstein ◽  
Leonard F. Salzman
Keyword(s):  
Cognitive Impairment ◽  
Hospital Admission ◽  
Cognitive Functioning ◽  
Clinical Remission ◽  
Psychiatric Patients ◽  
Discharge Home ◽  
Schizophrenic Patients

Tests of vocabulary and abstraction administered to groups of schizophrenic and non-schizophrenic patients at time of hospital admission and at time of clinical remission and discharge home revealed some evidence of general cognitive impairment in both groups, with significant improvement by time of discharge, as well as evidence of continuing specific conceptual impairment among schizophrenics.

Differential Effects of D2- and D4-Blocking Neuroleptics on the Procedural Learning of Schizophrenic Patients

1996 ◽  
Vol 41 (7) ◽  
pp. S21-S24 ◽  
Author(s):  
Marc-André Bédard ◽  
Hélène Scherer ◽  
Julie Delorimier ◽  
Emmanuel Stip ◽  
Pierre Lalonde
Keyword(s):  
Procedural Learning ◽  
The Other ◽  
Differential Effects ◽  
Drawing Task ◽  
Schizophrenic Patients ◽  
Drug Naïve ◽  
Per Se ◽  
Learning Trials ◽  
Haloperidol Group ◽  
Better Than

Objective: To illustrate the differential effects of D2- and D4-blocking neuroleptics on the procedural learning of patients with schizophrenia. Method: Twenty-nine schizophrenic patients were divided into 3 groups according to their pharmacological treatment: 1) drug naive, 2) haloperidol, and 3) clozapine. They were all assessed on clinical and procedural measures, the latter being the mirror drawing task. Results: All groups showed progressive learning over the successive trials, and drug-naive patients performed better than the other groups. Patients in the haloperidol group showed many fluctuations over trials, suggesting difficulty in the progressive automation of the task. Such fluctuations did not occur in the clozapine group, but performances per se were worse than in the other groups during the learning trials. A utomation of the task occurred at the same point (second block of trials) for all groups. Conclusion: These results suggest that D2- and D4-blocking neuroleptics do not similarly affect striatal dependent procedural learning in schizophrenia.

Studies of Body Image III: Body Feelings as Measured by the Semantic Differential

1973 ◽  
Vol 4 (4) ◽  
pp. 375-380 ◽  
Author(s):  
Robert Plutchik ◽  
Hope Conte ◽  
Marcella Bakur-Weiner
Keyword(s):  
Mental Illness ◽  
Body Image ◽  
University Students ◽  
Geriatric Patients ◽  
Psychiatric Patients ◽  
Semantic Differential ◽  
The Other ◽  
Three Dimensions ◽  
Middle Aged ◽  
Per Se

A semantic differential questionnaire was designed to assess the connotative meanings of the word “head” as an important aspect of body image. The questionnaire was completed by 203 individuals representing varied groups ranging from geriatric patients to university students. The “head” was described in terms of various words representing the evaluative, potency, and activity dimensions. Non-psychiatric patients in a Home and Hospital for the Aged, the oldest group, and university students described the “head” as good, happy, pleasurable, and active more frequently than did the other groups. Geriatric psychiatric patients and middle-aged schizophrenics scored consistently low an all three dimensions, suggesting that they perceived the “head” as bad, passive, and inactive. These results imply that increasing age per se is less disruptive to body image than is mental illness.

The Role of Human Rights and Personal Dignity in the Rehabilitation of Chronic Psychiatric Patients

1994 ◽  
Vol 165 (S24) ◽  
pp. 121-127 ◽  
Author(s):  
Dongxi Jin ◽  
Guishu Li
Keyword(s):  
Human Rights ◽  
Psychiatric Patients ◽  
Psychiatric Rehabilitation ◽  
Personal Dignity ◽  
Before And After ◽  
The Status ◽  
Schizophrenic Patients ◽  
New Treatment ◽  
Core Issues ◽  
Chronic Psychiatric Patients

In 1983 the branch hospital of the Yanbian Community Psychiatric Hospital, a rural residential centre for 120 chronic psychiatric patients who have no means of financial support, adopted a new treatment philosophy that emphasised psychosocial rehabilitation and made the protection of patients' human rights and respect for their personal dignity the central organising principles for the hospital's treatment programme. From being a boarding facility for chronic psychiatric patients, the hospital became a thriving community. Comparison of the status of the 81 continuously resident schizophrenic patients before and after the policy change showed that (a) the proportion who actively participated in agricultural labour increased from 10% in 1982 to 38% in 1990; (b) the proportion who worked at non-agricultural jobs increased from 7% in 1982 to 22% in 1990; and (c) their mean yearly income increased from 1.67 Rmb in 1982 to 246.70 Rmb in 1990. Moreover, the number of successful suicides among all the patients in the hospital dropped from 13 in 1975–1982 to 1 in 1983–1990. We conclude that the success of psychiatric rehabilitation programmes depends on the extent to which they address the core issues of personal dignity and basic human rights.

scholarly journals Staying Connected: Reaching Out to Psychiatric Patients During the Covid-19 Lockdown Using an Online Blog

2020 ◽  
Vol 8 ◽  
Author(s):  
Astrid Lehner ◽  
Klaus Nuißl ◽  
Winfried Schlee ◽  
Berthold Langguth
Keyword(s):  
Risk Management ◽  
Patient Involvement ◽  
District Hospital ◽  
Psychiatric Patients ◽  
The Other ◽  
Daily Routine ◽  
Medical Specialties ◽  
Per Se ◽  
The One ◽  
Future Work

Health systems worldwide are challenged by the coronavirus pandemic and all medical specialties have struggle to meet the conflicting requirements for virus containment on the one hand and treatment of other medical conditions on the other. This holds true also for psychiatry. Per se, psychiatric patients are highly vulnerable to suffer from social isolation and loneliness. As a result of the Covid-19 pandemic and lockdown measures, unfortunately, this vulnerability is even further increased. As a part of its pandemic risk management, the outpatient clinic of the Psychiatric District Hospital Regensburg launched an online blog as a means of assisting patients who were required to stay home. Aim of the blog was to stay by patients' side in those uncertain times by offering an online connection to their therapists, by providing important information about the pandemic situation, by offering some ideas on how to build a daily routine and how to meaningfully spend their time at home during the lockdown. We also aimed at involving patients as experts in their own affairs by inviting them to contribute to the blog's shape and content. As a result of coordinated team effort, it was possible to launch a blog within few days, and this was perceived helpful by many patients. Overall, however, patient involvement turned out to be a challenge requiring more attention in future work.

Auditory signal detectability and facilitation of simple reaction time in psychiatric patients and non-patients

1975 ◽  
Vol 5 (3) ◽  
pp. 260-272 ◽  
Author(s):  
Gerard E. Bruder ◽  
Samuel Sutton ◽  
Harvey Babkoff ◽  
Barry J. Gurland ◽  
Allan Yozawitz ◽  
...  
Keyword(s):  
Reaction Time ◽  
Simple Reaction Time ◽  
Psychiatric Patients ◽  
The Other ◽  
Auditory Signal ◽  
Structured Interviews ◽  
Affective Psychoses ◽  
Simple Reaction ◽  
Schizophrenic Patients ◽  
Signal Detectability

SynopsisPatients diagnosed on the basis of structured interviews as having affective psychoses were less sensitive in detecting the presence of a transient auditory signal than were schizophrenic patients or non-patients. Patients with affective psychoses also benefited more (their reaction time was more reduced) than the other two groups from the presence of a second auditory transient.

Looseness of Associations in Acute Schizophrenia

1975 ◽  
Vol 127 (3) ◽  
pp. 240-246 ◽  
Author(s):  
Frank Reilly ◽  
Martin Harrow ◽  
Gary Tucker ◽  
Donald Quinlan ◽  
Andrew Siegel
Keyword(s):  
Patient Group ◽  
Psychiatric Patients ◽  
Speech Pathology ◽  
Control Group ◽  
List Type ◽  
Type Number ◽  
Mild Degree ◽  
Relevant Variables ◽  
Schizophrenic Patients ◽  
Schizophrenic Group

SummaryTo study looseness of associations and other theoretically relevant variables of speech pathology, 51 acute psychiatric patients, including 26 schizophrenics, were studied at the acute phase of their disorder by means of a free verbalization interview. The results on these 51 patients during the acute period were.1.There were clear differences between the schizophrenic patient group and the control patient group, the overall index of deviant verbalizations being significant at the .001 el.2.Many types of looseness were found in non-schizophrenic patients as well as in schizophrenics. Except at the very mildest levels, however, the variants of overt looseness were strikingly more frequent in occurrence and severe in degree in the schizophrenic group (p < .01).3.Gaps in communication, vagueness of ideas and blocking, though present to some degree in our control group, were much more common in the schizophrenic sample (p < .001).4.In the control group of patients, private meanings (including neologisms), repetition and perseveration were extremely rare, and current delusional thinking virtually non-existent. Private meanings and current delusional thinking were conspicuously present in the schizophrenic sample; repetition and perseveration were present to a mild degree in this acute schizophrenic sample.5.Schizophrenic patients tend to show more looseness of associations when faced with a request to talk about topics not related to their illness.

Le rôle des facteurs subjectifs dans la fidélité à la médication*

1989 ◽  
Vol 34 (7) ◽  
pp. 662-667
Author(s):  
Céline Mercier
Keyword(s):  
Psychotropic Drugs ◽  
Psychiatric Patients ◽  
Advantages And Disadvantages ◽  
Schizophrenic Patients ◽  
The Subject ◽  
Negative Factors ◽  
Chronic Psychiatric Patients

In 1974, Van Putten was wondering “Why schizophrenic patients refuse to take their medication?” Twenty years later, the entire October 1986 issue of Psychiatric Annals deals with the subject of compliance in the case of maintenance psychotropic drugs. This paper aims to relate the empirical observations made during 152 interviews with chronic psychiatric patients to the broader considerations reported in specialized literature on compliance in the case of psychotropic drugs and of lithium. These two types of data make it possible to explain how the “perceived” advantages and disadvantages of medication go beyond the positive and negative factors objectively recognized and how they intervene in the decision to continue, modify freely or give up the treatment. In conclusion, the author reports studies on the effectiveness of various strategies proposed for increasing compliance.

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